Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $185.40 / $208.87	Professional		$160.13	$185.40	$208.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $214.25 / $235.68	Professional		$197.44	$214.25	$235.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $114.22	Facility		$50.00	$50.00	$114.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.29 / $253.95 / $459.50	Professional		$174.29	$253.95	$459.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.44 / $270.18 / $360.19	Professional		$209.44	$270.18	$360.19
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $204.75 / $374.83	Professional		$151.21	$204.75	$374.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.43 / $240.86 / $299.45	Professional		$184.43	$240.86	$299.45